Individual provider Active NPI

Shajadi Patan, M.D.

  • Medical Oncology Physician
  • Kansas City, MO
National Provider Identifier
1073921169
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
1942876487 Issued in MO
Practice address
2316 E Meyer Blvd
1 East
Kansas City, MO 64132-1136
Phone
(816) 974-5050
Fax
(816) 683-7645
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X 1942876487 MO Primary
Hematology & Oncology Physician 207RH0003X 2022026633 MO

Addresses

Primary practice location

2316 E Meyer Blvd
1 East
Kansas City, MO 64132-1136

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

2750 Clay Edwards Dr Lowr Level
North Kansas City, MO 64116-3237
Phone (816) 691-5216

Other identifiers 1

IdentifierTypeStateIssuer
7100666670MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017000398 MO Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Medical Oncology 0345661559 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

17053 S Outer Rd
FL 1
Belton, MO 64012-2165
Phone (816) 974-5050

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1942876487MOMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Hematology & Oncology CurrentSince Dec 1, 2024 Accepting new patients
American Oncology Partners, P.a. Hematology & Oncology CurrentSince Aug 17, 2025 Accepting new patients
Meritas Health Corporation CurrentSince Dec 1, 2024 Accepting new patients
American Oncology Partners PA Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
Golden Valley Memorial Hospital District Single Specialty Current Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Meritas Health Corporation Single Specialty Current Accepting new patients
Western Missouri Medical Center Single Specialty CurrentSince May 16, 2025 Accepting new patients
Western Missouri Medical Center Single Specialty CurrentSince May 16, 2025 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Jul 1, 2025 Accepting new patients
Western Missouri Medical Center Single Specialty Past Accepting new patients
Meritas Health Corporation Single Specialty Past Accepting new patients

Locations

17053 S Outer Rd
Fl 1
Belton, MO 64012
Phone (816) 974-5050

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

2316 E Meyer Blvd
#1E
Kansas City, MO 64132
Phone (816) 974-5050

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

802 E Highway 60
Monett, MO 65708
Phone (417) 882-4880

2750 Clay Edwards Dr
Lowr
North Kansas City, MO 64116
Phone (816) 691-2880

3850 S National Ave
Ste 600
Springfield, MO 65807
Phone (417) 882-4880

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

Interoperability endpoints

  • Direct secure messaging: shajadi.patan@ggclinic.ikm.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1073921169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E MEYER BLVD",
            "address_2": "1 EAST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321136",
            "telephone_number": "816-974-5050",
            "fax_number": "816-683-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Clay Edwards Dr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163237",
            "country_code": "US",
            "telephone_number": "816-691-5216",
            "fax_number": "816-346-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATAN",
        "first_name": "SHAJADI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "1942876487",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2022026633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100666670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.